Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right shoulder pain, localized to the lateral deltoid region, exacerbated by overhead activities and night pain. Reports weakness in abduction and external rotation. No history of acute trauma. Pain score [X]/10.
Clinical Examination Findings
Right shoulder inspection reveals no atrophy of supraspinatus/infraspinatus fossae. Palpation demonstrates tenderness over the greater tuberosity. ROM: Active abduction limited to [X] degrees due to pain; passive ROM full. Positive Neer and Hawkins-Kennedy impingement signs. Strength: 4/5 in abduction and external rotation. Neurovascular status intact distally.
Treatment Protocol
Initiate conservative management: Activity modification, avoidance of overhead lifting, and physical therapy focusing on rotator cuff strengthening and scapular stabilization. Prescribe NSAIDs for pain/inflammation. Consider subacromial corticosteroid injection if refractory to initial therapy.